Provider Demographics
NPI:1952411605
Name:ELLIOTT, KAREN AUSTIN (MA LPC LCAS)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:AUSTIN
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:MA LPC LCAS
Other - Prefix:
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Mailing Address - Street 1:5603 B NEW GARDEN VILLAGE DR
Mailing Address - Street 2:TRIAD COUNSELING AND CLINICAL SERVICES LLC
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410
Mailing Address - Country:US
Mailing Address - Phone:336-272-8090
Mailing Address - Fax:336-272-0094
Practice Address - Street 1:232 WOODROW AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4039
Practice Address - Country:US
Practice Address - Phone:336-882-2812
Practice Address - Fax:336-882-8632
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCLPC729101Y00000X
NCLCAS484101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor